In this episode of the EMS Wizard Podcast, John, Terry, and Walter sit down with Robby Milton, Deputy Director of Support Services with Iredell County, to talk about leadership growth, adapting to change, and the evolving landscape of EMS management.

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In this episode, we explore the idea of “reading the room you’re not in” and how situational awareness extends beyond patient care into leadership and management. We compare the skill sets of paramedics and managers, where they overlap, where they differ, and whether being good in one role prepares you for success in the other.

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In this episode we explore the timely and sometimes controversial question: does AI have a place in EMS narrative writing? As tools like ChatGPT become more accessible to EMS professionals, we examine how artificial intelligence could improve efficiency and reduce documentation fatigue, while also discussing the risks of inaccuracy, legal implications, and ethical concerns. We break down the pros and cons, emphasizing that AI is a tool, not a replacement, and that medics must remain the authors and stewards of their patient care records. Tune in for practical guidance, real-world insight, and a thoughtful conversation about how technology may shape the future of EMS documentation.

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In this special EMS Week 2025 episode, hosts John, Terry, and Kathia come together to celebrate the individuals, teams, and institutions that define the heart of emergency medical services. The conversation begins with a look back at the origins of EMS Week, first recognized in 1974 under President Gerald Ford, and how it has grown into a national moment of reflection, gratitude, and recognition. This year’s theme, “We Care. For Everyone.” sets the tone as the hosts explore the evolution of the profession and the path forward for EMS leaders, providers, and educators alike.

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The guests have infiltrated the show and brought an innocent bystander in the form of Surry County EMS Director, Eric Southern. The discussion will take you through growing pains of a rural EMS system and into the modern identity of the profession as well strategies of the ongoing burnout problem.

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John and Terence delve into North Carolina House Bill 975, which proposes allowing EMS personnel to carry pepper spray while on duty, either openly or concealed. The bill aims to prevent the North Carolina Medical Care Commission and the Office of EMS from enforcing rules that prohibit EMS workers from carrying pepper spray as permitted under existing state law.

John and Terence discuss the potential implications of this legislation, including how it might affect EMS protocols, training requirements, and interactions with patients and law enforcement. They also consider the balance between ensuring EMS personnel's safety and maintaining the trust and comfort of the communities they serve. With their combined expertise in EMS education and administration, they provide a nuanced analysis of how HB 975 could reshape safety measures and operational policies within North Carolina's EMS systems.

Tune in for an insightful conversation on the evolving landscape of EMS safety and the potential impacts of this proposed legislation.

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In this episode, John and Terry explore the implications of North Carolina House Bill 675, which proposes requiring National Registry of EMTs (NREMT) certification for initial EMS credentialing in the state. They break down the bill’s intent, discuss how it could impact EMS education programs, and examine potential challenges for agencies and training institutions. The conversation covers how becoming a “National Registry state” might affect recruitment, especially in rural areas, and the balance between national standardization and local flexibility. John and Terry also address the possible operational hurdles, such as testing access, credentialing delays, and administrative strain. With their combined experience in EMS education and leadership, they offer insight into what the future could look like for EMS in North Carolina. Tune in for a thoughtful look at the crossroads of policy, practice, and patient care.

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In this episode of the EMS Wizard Podcast, we chat with Dr. Brent Myers, Chief Medical Officer of ESO, to explore his incredible journey from working as an orderly to becoming a national leader in EMS and data-driven healthcare. Dr. Myers shares insights from his career, including his experiences in high-performance EMS systems, the evolution of data analytics in emergency medicine, and what it takes to be a forward-thinking EMS leader. With a passion for improving patient outcomes and shaping the future of EMS, Dr. Myers provides valuable lessons on leadership, innovation, and the power of data to transform emergency care.

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